Pre-existing condition travel insurance coverage protects travelers who have medical conditions diagnosed or treated before their trip. This page explains what it covers, how waivers work, and when you need this protection.
What is Pre-Existing Condition Travel Insurance Coverage?
Travel insurance can cover pre-existing medical conditions if you buy early and meet strict waiver requirements.
Learn how pre-existing condition coverage and exclusions work.

Updated: December 8, 2025
Advertising & Editorial Disclosure
Most travel insurance plans exclude pre-existing conditions unless you qualify for a time-sensitive pre-existing condition waiver.
To qualify for a waiver, you usually must buy early, insure 100% of prepaid trip costs and be medically able to travel.
Major insurers offer waivers, but rules and purchase windows vary by company and plan.
What Pre-Existing Conditions Travel Insurance Covers
"Pre-existing conditions travel insurance" isn't a separate product. The term describes travel insurance policies that offer coverage for medical issues you already had before you bought the plan.
Most comprehensive travel insurance plans include trip cancellation, trip interruption, emergency medical coverage, and emergency medical evacuation. These benefits often exclude claims tied to pre-existing medical conditions unless you meet specific requirements through:
- A pre-existing medical condition exclusion waiver, or
- A more limited acute onset of a pre-existing condition benefit.
Coverage comparison: Waiver vs. Acute Onset
Trip Cancellation | Covered for pre-existing conditions | Not covered |
Trip Interruption | Covered for pre-existing conditions | Not covered |
Emergency Medical Treatment | Covered for pre-existing conditions | Emergency flare-ups only |
Emergency Medical Evacuation | Covered for pre-existing conditions | Emergency stabilization only |
Age Restrictions | Typically none | Often applies to seniors |
Coverage Limits | Full policy limits | Reduced limits |
When you qualify for a pre-existing condition exclusion waiver, your pre-existing condition gets treated like any other covered illness or injury. The insurer can't use the look-back period to deny covered claims tied to your pre-existing condition.
Policies with only acute onset of a pre-existing condition coverage limit benefits to sudden, unexpected flare-ups. These benefits apply only to emergency stabilization and short-term treatment, often include age limits for older travelers, and provide narrower protection than a full waiver. This benefit helps with unexpected complications but doesn't offer the broader trip cancellation or interruption protection that a waiver provides.
What's not covered, even with a waiver
High-risk or degenerative conditions | Progressive worsening expected | Specialized medical travel insurance |
Some mental health conditions | Varies by insurer definition | Check plan-specific mental health provisions |
Routine childbirth | Not considered emergency | Maternity travel insurance riders |
Alcohol/drug-related illness | Voluntary risk assumption | None |
Unstable or uncontrolled conditions | Can't meet "medically able to travel" requirement | Delay travel until stable |
Note: The plan's certificate of insurance has the final word on what's covered.
How Insurers Define Pre-Existing Conditions
Wording varies by company, but most share common elements:
- The condition existed before you bought the policy.
- You had symptoms, diagnosis, treatment, tests, or medication changes during a look-back period (often 60-180 days before purchase).
- The insurer uses that look-back period to decide whether the issue counts as pre-existing.
Common pre-existing conditions
Cardiovascular | Heart disease, high blood pressure | Recent medication changes, test results |
Respiratory | Asthma, COPD | Flare-ups, new prescriptions |
Chronic Metabolic | Diabetes, thyroid conditions | Blood sugar changes, dosage adjustments |
Congenital | Birth defects, genetic conditions | Ongoing treatment, recent complications |
Mental Health | Depression, anxiety disorders | New medications, therapy changes |
Pregnancy | Any pregnancy existing before purchase | Trimester, complications history |
Note: Review the plan document when you have any ongoing or past health issues, since definitions differ across insurers.
How Pre-Existing Condition Waivers Work
A pre-existing condition exclusion waiver is a time-sensitive feature that removes the standard pre-existing condition exclusion when you meet specific requirements.
Typical waiver requirements
Purchase Window | 10-21 days after first trip payment | Some allow up to 30 days; others only 10 |
Trip Cost Coverage | Must insure 100% of prepaid, nonrefundable costs | Some allow partial coverage with reduced benefits |
Medical Stability | Must be medically able to travel at purchase | Definition of "able to travel" varies |
Look-Back Period | 60-180 days before purchase | Shorter periods more favorable |
Additional Cost | Usually included at no extra charge | Rare exceptions charge premium |
Waivers are usually included at no extra cost, but only if you meet these rules at the time of purchase.
Companies Offering Pre-existing Condition Waivers
The table below shows which companies offer waivers and when you must buy a plan to qualify. Exact availability varies by plan and state, so treat this as a high-level guide, not a substitute for the plan document.
Allianz | Yes | Within 14 days of first trip payment | Must be medically able to travel; waiver built into eligible plans. |
Travel Guard | Yes | Within 15 days | Must insure full trip cost and buy early. |
AXA Assistance | Yes (higher tiers) | Within 14 days | Applies only to medically stable conditions under plan rules. |
Travelex | Yes (Ultimate plan) | Within 21 days | Requires insuring full prepaid costs. |
Seven Corners | Yes (Choice/Elite) | Within 20 days | Must insure all prepaid nonrefundable costs. |
Nationwide | Yes | Often 10-21 days | Varies by plan; must be medically able to travel. |
Berkshire Hathaway | Yes | Within 15 days | Must insure full trip cost and meet medical-eligibility rules. |
WorldTrips | Yes | Within 21 days | Waives look-back if purchased early and you're fit to travel. |
Tin Leg | Yes (select plans) | Often 15 days | Must insure full trip cost; varies by plan. |
Travel Insured International | Yes | Time-sensitive (plan-specific) | Rules vary by tier and state; must buy early. |
Note: Always confirm in the certificate of insurance.
How to qualify for a waiver
- 1Document your medical history.
List diagnoses, treatments, medication changes and hospital visits from the past 180 days. Insurers use this period to determine pre-existing status.
- 2Review policy language carefully.
Look for "pre-existing condition exclusion," "waiver," or "early purchase benefit" terms in the plan certificate. Different definitions affect your coverage, so note the look-back period specific to each plan you're considering.
- 3Buy early.
Purchase within 10-21 days of your first trip payment. Missing this window eliminates waiver eligibility. The clock starts from your first trip payment, not when you finish booking your entire trip.
- 4Insure your full trip cost.
Cover 100% of prepaid, nonrefundable costs. Some insurers allow partial coverage with reduced benefits, but most require full trip cost coverage for the waiver to apply.
- 5Confirm you're medically able to travel.
You must be medically fit to travel when you purchase. Insurers often require you aren't seeking or awaiting treatment for the condition at the time of purchase.
- 6Check age limits and exclusions.
Some plans reduce benefits or restrict coverage for certain age groups or conditions. Review these limitations before buying to ensure the coverage meets your needs.
- 7Disclose your medical history fully.
Provide complete medical history. Non-disclosure voids coverage and commonly causes claim denials.
When You Need Pre-Existing Condition Coverage
You can usually buy travel insurance even if you have pre-existing medical conditions. The question is whether the insurer will cover cancellations, interruptions, or medical bills tied to those conditions.
A waiver is especially valuable for:
- Travelers with chronic health issues
- Older travelers
- People with nonrefundable trips, cruises, or tours
- Anyone traveling somewhere with high medical costs
If your condition is stable and low-risk, you may decide the standard exclusion is acceptable. But for many travelers, having coverage for known medical issues brings financial protection.
How much coverage you need
There's no single recommended dollar amount for every traveler. Consider these factors:
- Emergency medical coverage: Choose a limit that reflects realistic hospitalization costs in the destination you're visiting. Learn what travel insurance covers for medical emergencies.
- Emergency evacuation coverage: Critical for travelers with complex medical needs. Medical evacuations can cost $50,000 or more, depending on your location.
- Trip cancellation/interruption: Make sure your full nonrefundable trip cost is protected. This includes flights, hotels, tours, and any prepaid activities.
If your health history increases the likelihood you'll need to cancel or seek care, choosing higher limits reduces your financial risk.
Pre-Existing Condition Coverage FAQ
Does travel insurance cover pre-existing conditions?
Most plans exclude pre-existing medical conditions unless you qualify for a pre-existing condition exclusion waiver. Some travel medical plans offer only acute onset coverage. For maximum flexibility, consider cancel for any reason (CFAR) coverage, which provides broader cancellation protection regardless of the reason.
What is a look-back period in travel insurance?
It's the window, often 60 to 180 days before you buy, when insurers review past symptoms, treatment or medication changes. Any medical activity during this period may classify the condition as pre-existing unless you qualify for a waiver.
What happens if my medication changes before my trip?
A medication change during the look-back period may cause the insurer to classify the condition as pre-existing unless you have a waiver. This includes dosage changes, new prescriptions, or stopping medication.
Does a pre-existing condition waiver cost extra?
No. It's usually included if you buy within the required timeframe and insure the full trip cost. The waiver is a feature of the policy, not an add-on that requires additional payment.
Can insurers deny a claim if I didn't disclose my medical history?
Yes. Non-disclosure commonly causes claim denials, especially for pre-existing conditions. You must provide accurate medical information when applying, even if the insurer doesn't ask detailed questions upfront.
About Mark Fitzpatrick

Mark Fitzpatrick, a Licensed Property and Casualty Insurance Producer, is MoneyGeek's resident Personal Finance Expert. He has analyzed the insurance market for over five years, conducting original research for insurance shoppers. His insights have been featured in CNBC, NBC News and Mashable.
Fitzpatrick holds a master’s degree in economics and international relations from Johns Hopkins University and a bachelor’s degree from Boston College. He's also a five-time Jeopardy champion!
He writes about economics and insurance, breaking down complex topics so people know what they're buying.

